scholarly journals В. Stewart: The Increase of general Paralysis in England and Wales: its Causation and Significance. (The journal of mental science. 1896, № 143)

2020 ◽  
Vol V (3) ◽  
pp. 162
Keyword(s):  
Psychiatric Hospitals ◽  
England And Wales ◽  
General Paralysis ◽  
Number Of Patients

In England and Wallis for 1881-1891. the number of population increased by 11, 7%, while cases of mental insanity - by 15, 24%. The share of general progressive paralysis accounts for 9% of the total number of patients admitted to psychiatric hospitals in England and Wallis. For 15 years (1878-1892) the number of paralytics was 18438, accounting for 8% of the total number of patients in 1878-1882. 8.6% in 1883-1887 and 8, 9% in 1888-1892.

An epidemiological study of concomitant use of herbal medicine and antipsychotics in schizophrenic patients: implication for herb-drug interaction

2011 ◽  
Vol 26 (S2) ◽  
pp. 1536-1536
Author(s):  
Z.-J. Zhang
Keyword(s):  
Herbal Medicine ◽  
Clinical Outcomes ◽  
Epidemiological Study ◽  
Urban Areas ◽  
Psychiatric Hospitals ◽  
Adverse Outcomes ◽  
Antipsychotic Treatment ◽  
Clinical Effects ◽  
Association Analyses ◽  
Number Of Patients

Herb-drug interactions are an important issue in drug safety and clinical practice. The aim of this epidemiological study was to characterize associations of clinical outcomes with concomitant herbal and antipsychotic use in patients with schizophrenia. A total of 1795 patients with schizophrenia who were randomly selected from 17 psychiatric hospitals in China were interviewed face-to-face using a structured questionnaire. Association analyses were conducted to examine correlates between Chinese medicine (CM) use and demographic, clinical variables, antipsychotic medication mode, and clinical outcomes. The prevalence of concomitant CM and antipsychotic treatment was 36.4% [95% confidence interval (95% CI) 34.2%–38.6%]. Patients using concomitant CM had a significantly greater chance of improved outcomes than non-CM use (61.1% vs. 34.3%, OR = 3.44, 95% CI 2.80–4.24). However, a small but significant number of patients treated concomitantly with CM had a greater risk of developing worse outcomes (7.2% vs. 4.4%, OR = 2.06, 95% CI 2.06–4.83). Significant predictors for concomitant CM treatment-associated outcomes were residence in urban areas, paranoid psychosis, and exceeding 3 months of CM use. Herbal medicine regimens containing Radix Bupleuri, Fructus Gardenia, Fructus Schisandrae, Radix Rehmanniae, Akebia Caulis, and Semen Plantaginis in concomitant use with quetiapine, clozapine, and olanzepine were associated with nearly 60% of the risk of adverse outcomes. Our study suggests that concomitant herbal and antipsychotic treatment could produce either beneficial or adverse clinical effects in schizophrenic population. Potential herb-drug pharmacokinetic interactions need to be further evaluated.

Is it Time for a Formal Disciplinary Code for Psychiatric In-Patients in England and Wales?

1996 ◽  
Vol 36 (1) ◽  
pp. 65-68 ◽  
Author(s):  
John H. M. Crichton
Keyword(s):  
Psychiatric Hospitals ◽  
England And Wales ◽  
Psychiatric Staff

Within psychiatric hospitals it is not legal for staff to formally punish a patient for any misdemeanour. The staff response to such an incident is cloaked in therapeutic terms even if it is in effect a disciplinary punishment. To avoid injustice and introduce safeguards into this process Professor Genevra Richardson (1993, 1995) suggests the need for the introduction of a disciplinary code for psychiatric in-patients. This paper discusses the need for better guidance for psychiatric staff and the problems of punitive sanctions on patients.

scholarly journals Your supported lodgings

1991 ◽  
Vol 15 (5) ◽  
pp. 270-271 ◽  
Author(s):  
C. E. Robson
Keyword(s):  
Social Services ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
Mentally Handicapped ◽  
England And Wales ◽  
Chronically Mentally Ill ◽  
Important Means ◽  
Successful Rehabilitation

Supported lodgings are an important means of achieving the successful rehabilitation and resettlement of the chronically mentally ill into the community (Anstee, 1978, 1985). In a survey of 15 psychiatric hospitals in England and Wales, it was estimated that 9.3% of the long-stay patients (i.e. in-patients from one to five years) under 65 years of age were ideally suited to less supervised accommodation outside the hospital. In Gloucestershire the Supported Lodging Scheme is provided by the Psychiatric Social Services Department. It was started to enable ‘new’ and ‘old’ long-stay patients at Coney Hill and Horton Road hospitals to be settled in the community. Now any psychiatric or mentally handicapped patient can also enter the scheme if appropriate.

scholarly journals Treatment Delays for Involuntary Psychiatric Patients Associated with Reviews of Treatment Capacity

2002 ◽  
Vol 47 (2) ◽  
pp. 181-185 ◽  
Author(s):  
Michelle Kelly ◽  
San dra Dunbar ◽  
John E Gray ◽  
Rich ard L O'Reilly
Keyword(s):  
Psychiatric Illness ◽  
Treatment Initiation ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Demographic Variables ◽  
Average Delay ◽  
Treatment Delays ◽  
Number Of Patients ◽  
The Cost

Objective: To de ter mine the duration of de lays in treatment initiation when involuntary patients apply for a review of a finding of treatment in capacity and to estimate the cost of keeping patients hospitalized with out treatment in these circumstances. Method: Using a computerized da ta base and writ ten records, we identified all patients at 2 psychiatric hospitals in Ontario who applied for a re view of a finding of treatment in capacity during a 10-yearperiod. We recorded clinical and demographic variables, dates of stopping and starting medication, and dates of review board hearings and out comes. We also noted all cases in which a patient appealed a decision from the re view board to the court. Results: Two hundred and thirty-seven patients made 334 applications to the re view board. The board over turned the physician's finding of incapacity in only 5 (1.5%) applications; 15 appealed the re view board's finding to the courts. None of these appeals were successful. In the absence of an appeal to the courts, the average delay in initiating treatment was 25 days. For patients appealing to the court, the average de lay was 253 days. The cost of hospitalizing un treated patients while their capacity was under legal review was estimated at $3 867 000, of which $1 333 000 could have been saved if treatment had started immediately after the review board confirmed in capacity. Conclusion: We have identified extensive de lays in initiating psychiatric treatment for a number of patients. These de lays are associated with le gal re view of treatment capacity. There are seriousclinical risks and substantial costs as sociated with de lay in treating patients with acute psychiatric illness. Where juris dictions review treatment capacity, we recommend that treatment not be impeded once a re view board has con firmed a clinical finding of in capacity.

scholarly journals Emergency Patients with Mental Crisis Accessing Emergency Medical Services in Thailand

2019 ◽  
Vol 34 (s1) ◽  
pp. s126-s126
Author(s):  
Porntip Wachiradilok
Keyword(s):  
Emergency Medical Services ◽  
Winter Season ◽  
Psychiatric Hospitals ◽  
Medical Services ◽  
Knowledge And Skills ◽  
Emergency Patients ◽  
Emergency Team ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Insufficient Knowledge

Introduction:Emergency responders face an increasing number of calls involving people with behavioral and mental crisis issue. Integrated multi-agency schemes involving ambulance, police and mental health services are now being developed to provide urgent and emergency care pathways for these vulnerable patients.Aim:The objectives were to study the situation, characteristics, issues, and accessibility to emergency medical services (EMS) and appropriate treatment for emergency patients with a mental crisis in Thailand.Methods:The sample included 26,511 mental crisis patients accessing EMS. Data were obtained from the database of the Information Technology for Emergency Medical System between 2015-2017 and from stakeholders from four provinces distributed regionally using focus groups and in-depth interviews. The data were analyzed using descriptive statistics and content analysis.Results:The number of patients with mental crisis accessing EMS increased in the past three years. Most patients are male in the working age group from the Northeastern area during the raining and winter season, especially between September and October. During patient encounters with maniacal attacks, assistance will be requested from the police and the emergency medical units. The response depends on the experience and community capability. The emergency responder teams had insufficient knowledge and skills. Emergency rooms in most hospitals lack specific caring unit. Psychiatric hospitals have different criteria for admitting patients. Most had no fast track system and even refuse admittance.Discussion:Mental crisis patient calls with EMS were rising. However, accessibility to appropriate service centers was still an issue. Most hospitals lack prioritized access and staffs had insufficient knowledge and skills. Cooperation among the police, emergency medical operation team and the rapid psychiatric emergency team is need to be reinforced.

Evolution of bipolar disorder over 12 years in a psychiatric hospital

2016 ◽  
Vol 33 (S1) ◽  
pp. S125-S125
Author(s):  
E. Ribera ◽  
M. Grifell ◽  
M.T. Campillo ◽  
I. Ezquiaga ◽  
L. Martínez ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Early Detection ◽  
Psychiatric Hospitals ◽  
Categorical Variables ◽  
Chi Square ◽  
Number Of Patients ◽  
Chi Square Test ◽  
The Mean ◽  
Second Period ◽  
Carlos Iii

IntroductionBipolar disorder is a leading cause of hospitalization in psychiatric hospitals. It is known that early detection of bipolar disorder is associated with a better prognosis.ObjectivesThe aim of this study is to conduct a demographic analysis of patients hospitalized for bipolar disorder in a single center between 2003 to 2014.MethodsRetrospective cohort study of 1230 patients admitted with bipolar disorder diagnosis from 2003 to 2014 at Centre Assistencial Emili Mira i López of Parc Salut Mar of Barcelona. We divided the study in two periods: 2003–2008 and 2009–2014. We analyzed the following variables: frequency of admissions, age, sex and days of hospital stay, comparing both periods. Chi-square test for categorical variables and Student t test for quantitative variables were applied.ResultsThe mean ages at the first and second period are 52 and 47, respectively (P < 0.001). There are no significant differences in sex and days of hospitalization. The frequency of admissions on the first and third trimesters is higher than in the second and fourth, although the differences are not statistically significant.ConclusionsDespite the large number of patients in the study, there are limitations, such as being a retrospective study and not being adjusted for confounding factors. The average age of patients in the second period is lower than in the first. This could suggest an improvement in early detection of bipolar disorder in the last years. Further research is needed to confirm this hypothesis.Disclosure of interestLG is funded by the Instituto de Salud Carlos III(CM14/00111).

scholarly journals Projecting the number of patients with first ever strokes and patients newly handicapped by stroke in England and Wales.

BMJ ◽  
1989 ◽  
Vol 298 (6674) ◽  
pp. 656-660 ◽  
Author(s):  
R. Malmgren ◽  
J. Bamford ◽  
C. Warlow ◽  
P. Sandercock ◽  
J. Slattery
Keyword(s):  
England And Wales ◽  
Number Of Patients

scholarly journals How Law 180 in Italy has reshaped psychiatry after 30 years: past attitudes, current trends and unmet needs

2010 ◽  
Vol 197 (4) ◽  
pp. 261-262 ◽  
Author(s):  
A. Carlo Altamura ◽  
Guy M. Goodwin
Keyword(s):  
Unmet Needs ◽  
Psychiatric Hospitals ◽  
Clinical Leadership ◽  
England And Wales ◽  
Current Trends ◽  
Chronic Psychosis

SummaryLaw 180 eliminated psychiatric hospitals for the care of people with chronic psychosis in Italy. After 30 years, we review the consequences for the practice of psychiatry in Italy and parallels for England and Wales. We argue that the substitution of legal/political direction for clinical leadership means psychiatrists may cease to merit the privileges and responsibilities of being doctors.

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